AHDI and AHIMA, along with contributions from CDIA (formerly MTIA), have collaborated to produce Healthcare Documentation Quality Assessment and Management Practices, a resource for establishing a comprehensive transcription quality assessment program for healthcare organizations. Accuracy in the capture process will be critical to making sure high-integrity information is consumed and repurposed in the EHR.
In this For The Record exclusive, Dale Kivi states the guide "includes recommendations for assessment policies and procedures for concurrent review, retrospective review, flagged documents, feedback, and author assessments" and can be applied to both paper-based and EHR-based quality programs.
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